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Evidence · Journal club · continued

Journal club: LEADER as the historical anchor posts 31–60

This is a continuation of a long topic, addressed by post number rather than by page. Start at post 1.

TK
t.kulkarniTL3Regular5 Feb 2026#31

LEADER is one of those subjects where the general answer and the answer for a specific case diverge, and the thread will go in circles until someone says which one is being asked for.

1 like 6mo
GO
g.oyelaranTL27 Feb 2026#32
RJ
r.jhannsdttirTL3Regular10 Feb 2026#33

Narrowing post #31, because the general version has more than one answer.

Sessions on negative or null results are consistently the most instructive and the hardest to get anyone to attend.

I am reporting what happened, not recommending it.

17 likes 6mo
AV
a.vermeulenTL212 Feb 2026#34
cannula_notes, post #25: What I want from this LEADER thread is the list of things that would need to be true for the claim to hold. If we can write that list, we can check it. Go to post

Practical note on LEADER: write down what you expect before you look. The number of times I have found what I went looking for is higher than chance would allow.

33 likes in reply to #25 5mo
B
BDraganovTL2Member15 Feb 2026#35
k.roos, post #30: The figures usually contain the finding and the text usually contains the interpretation. Separating them for the first twenty minutes is a discipline worth keeping. That has held every time I have looked, which is not the same as always. Go to post

The most common failure mode is spending fifty minutes on the effect size and ten on the population. Reversing that ratio would improve most sessions.

3 likes in reply to #30 5mo
HK
h.kimaniTL217 Feb 2026 · edited#36
i.grimaldi, post #4: The opening post answers the question as asked. The question underneath it is different. The baseline characteristics table is the single most useful page for the questions that get asked here, because it tells you who the result applies to. It took me longer than it should have to see that. Go to post

Adding the boring version of LEADER, because the interesting version keeps getting posted and the boring one is usually right.

Check the ordinary explanations, in order, and stop when one of them accounts for what you are seeing. Most of the time the second one does.

11 likes in reply to #4 5mo
HA
h.almeidaTL2Member20 Feb 2026#37

Fair, and the limits you put on it are the part I will remember.

24 likes 5mo
JP
j.palaciosTL222 Feb 2026#38
i.broberg, post #24: Two questions I would want answered before drawing anything from the LEADER data above: how were the cases selected, and what happened to the ones that dropped out. Go to post

Answering the question post #34 raises rather than the one it answers.

Two things can be true about LEADER at once: the mechanism is plausible and the evidence for the size of the effect is thin. Most of the argument here is people defending the first against attacks on the second.

0 likes in reply to #24 5mo
SF
sterile_fileTL325 Feb 2026#39
NC
n.chowdhuryTL227 Feb 2026#40

Where the group cannot agree, record the disagreement rather than resolving it by seniority. The recorded disagreement is more honest and more useful later.

Happy to be the one who is wrong here if it settles the question.

1 like 5mo
CV
ca.vermeulenTL22 Mar 2026#41

LEADER is a good example of a question where the honest answer is boring and the interesting answers are unsupported. I would go with boring.

0 likes 5mo
GF
gradient_fileTL2Member4 Mar 2026#42

This follows post #40 rather than contradicting it.

Adding a small correction to the LEADER summary above rather than a disagreement with it. The substance holds; one of the figures is out by a factor that matters.

28 likes 5mo
SK
s.kravchenkoTL26 Mar 2026#43
y.asante, post #19: The most common failure mode is spending fifty minutes on the effect size and ten on the population. Reversing that ratio would improve most sessions. Go to post

Reading order that works for these sessions: registry entry, methods, baseline table, primary result, then abstract last. Reading the abstract first anchors everything that follows.

9 likes in reply to #19 5mo
EL
endpoint_lineTL3Regular9 Mar 2026#44

The figures usually contain the finding and the text usually contains the interpretation. Separating them for the first twenty minutes is a discipline worth keeping.

2 likes 5mo
ON
o.nybergTL211 Mar 2026#45

On post #43 — agreed on the reasoning, with one qualification.

Posting my LEADER numbers with the method attached so they can be discounted properly. Uncontrolled, unblinded, and collected by someone who wanted a particular answer.

0 likes 5mo
DW
diluent_watchTL2Member13 Mar 2026#46
BDraganov, post #35: The most common failure mode is spending fifty minutes on the effect size and ten on the population. Reversing that ratio would improve most sessions. Go to post

Picking up post #43: that is the part I would want checked first.

LEADER: I have looked for the primary source twice and failed twice. Either it does not exist or it is somewhere I do not know to look, and I would like to know which.

0 likes in reply to #35 4mo
ZV
z.vogelTL216 Mar 2026 · edited#47
cannula_notes, post #25: What I want from this LEADER thread is the list of things that would need to be true for the claim to hold. If we can write that list, we can check it. Go to post

Grateful for the specificity. Vague answers to this question are what sent me looking.

14 likes in reply to #25 4mo
W
WoodhouseTL2Member18 Mar 2026#48

The most common failure mode is spending fifty minutes on the effect size and ten on the population. Reversing that ratio would improve most sessions.

Adding this to the thread rather than to the wiki, because I am not confident enough for the wiki.

5 likes 4mo
AP
ar.petrovTL220 Mar 2026#49

On LEADER, I would rather understate and be corrected upward than overstate and be quoted. That is a house style here and it is a good one.

29 likes 4mo
RS
r.scholtenTL2Member23 Mar 2026#50

On LEADER the community has more anecdote than the confidence in this thread implies, and I include my own contribution in that.

14 likes 4mo
SO
se.okaforTL225 Mar 2026#51

This follows post #50 rather than contradicting it.

The baseline characteristics table is the single most useful page for the questions that get asked here, because it tells you who the result applies to.

A partial answer, offered because a partial answer beats none.

1 like 4mo
OF
outline_firstTL3Wiki editor27 Mar 2026#52

Where the group cannot agree, record the disagreement rather than resolving it by seniority. The recorded disagreement is more honest and more useful later.

Posted with less confidence than the sentence structure implies.

5 likes 4mo
JR
j.restrepoTL230 Mar 2026#53

Worth stating the null on LEADER before we explain it: the observation may be nothing. That possibility deserves a sentence and usually does not get one.

21 likes 4mo
CT
cannula_traceTL3Regular1 Apr 2026#54
y.asante, post #19: The most common failure mode is spending fifty minutes on the effect size and ten on the population. Reversing that ratio would improve most sessions. Go to post

Coming back to post #52, because the follow-up matters more than the original answer.

My position on LEADER is current rather than settled. I have revised it once already and I expect to again, so treat it accordingly.

0 likes in reply to #19 4mo
DB
da.bakkerTL23 Apr 2026#55
s.kravchenko, post #43: Reading order that works for these sessions: registry entry, methods, baseline table, primary result, then abstract last. Reading the abstract first anchors everything that follows. Go to post

Sessions on negative or null results are consistently the most instructive and the hardest to get anyone to attend.

This is the sort of thing that ought to be settled and apparently is not.

0 likes in reply to #43 4mo
CW
c.wijnbergTL2Member5 Apr 2026#56

I had read the opposite somewhere and cannot now find where, which tells me something.

3 likes 4mo
PF
p.fontaineTL28 Apr 2026#57

Post #54 answers the question as asked. The question underneath it is different.

If you are new and reading this thread for the answer to LEADER: the answer is conditional, the conditions are in the third reply, and the rest of the thread is worth skipping.

15 likes 4mo
NR
n.rowntreeTL3Regular10 Apr 2026#58

I read post #57 twice before replying, because I had assumed the opposite.

Offering a way to settle LEADER rather than another opinion about it. Two measurements, taken the same way, a fortnight apart. If the difference is within the noise, the question was not answerable at this precision.

30 likes 4mo
KK
k.kuuselaTL212 Apr 2026#59

The baseline characteristics table is the single most useful page for the questions that get asked here, because it tells you who the result applies to.

That is the practical version. The rigorous version is longer and says the same thing.

0 likes 4mo
FE
footnote_entryTL3Regular14 Apr 2026#60

Post #57 describes the usual case. This is about the unusual one.

The most useful reply I ever got about LEADER was a request to state my units. It sounds like pedantry and it has saved me twice.

1 like 3mo